HomeMy WebLinkAboutHO201300053 Legacy Document 2013-04-03Fon OFFICE uSL ONLY nU it N(( /l'1.
Fec Amounl 5 �._...... Dale Pnicl`�_J, l _.Rr ��dui'_y
CApplication forClass A Home Occupation Clearance
�- --_----- -- —[� 1_lome Occupation Class A Clearance = ,$25.00
Horne Occupwion, ('lays/l; Ali occullatloll, not expressly prohibited by section 5.2, conduclCd for profit Withill a dwelling
Llllil 501C1)' by 011e Ot• I1101.e I11ClnbCI's of the family I'CSlding Wlt'1lill the dWClllllg ulllt; pl'OVIdCCI that nothing hel'elll I)1'011lblls the
OCCupat1011 fl'0111 Cllgaging Othcf- pClusons Who wol'I< off-site and do not Collie to the dWClllllg Unit 10 CllgiIgC 111 the OCCLII)at1011.
Name of Business: q_(,Ij;,aw V1
'1'}rpc of Business:...-.._.`�
r�Tax nla and parcel' I �oninr: �•.
Contact Person (Who should we call/write concerningg tth(is pri)ject?): {
Address 2,0.0- - 1.1J f '' "�i �' /— City I� {��y 1� 1 lQ State 'Lip 22'10 I
Ua�'timc I'honr ( -p _101- DU Fax # (_)
Owner• of kecor•cl __��_�.,_ ` �i(�rn��V"Q�y:�1 `� ��_
Address
Ur ytinu Fax # L�----
i
E-mail (AUD U �i� C
Cit} 0'V aG i1 3V►1, State—Y%—zip ZDc1 0)
E-mail
This cci'tifkale, in C011jUllCt10ll With a business license, represents zoning approval to conduct the Class A I lorne Occupation
identified above. f.ach hone occupation is subject to the following:
PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ
AND UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE
'Rf LOCATION & AREA
(File 110111C OCCLII)ation shall be C0I1dUCtCd Clltll'Cly within the d1,vClling unit, provided that not niore than twenty-five
(25) percent of the gross floor arca of the dwelling unit shall be used for the hone occupation and further provided
t:llat the gross (1001' afea Used f01' the 110111C OCCLII)£10011 S11t111 110t exceed one thousand five hundi-ed (1 500) SgURI-C fCCt.
ISection 5.2 (b) 1)[
EXTERIOR APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a
honk occupation. [Section 5.2 (c) 1)j
SALES
No hone occupation shall sell goods to a customer who comes to the site except for goods that are hand-crafted on-
site and goods sold that are dimptly related to a beauty shop OI' a 011e -Chair barber shop home occupation.
[Section 5.2 (d)]
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
2/1/2011 Pape I oft
01TRAFI+IC
The traffic generated by a home occupation shall not exceed the volume; that would normal ly be expected by a
dwelling unit in a residential neighborhood, [Section 5.2 (e)]
VPARKIN G
All vehicles used in a honk occupation and all vehicles of customers, clients or students shall be parked on-site,
(Section
•d])ERFORMANCE STANDARDS
The hoil1e oCCUpatloll Sllall 00111ply With the perforillaDce standards ill sectloll 4,14. ISection 5.2A (Iol
Does the use involve procedures, machinery or chemicals that mal, cause the following;?
YE,S NO
NOISE
VIBRATI ON
GLARE
MEAT
AIR POLLUTION
'ATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON-DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER
If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
d PROHIBITED USES
The following uses are expressly prohibited as home occupations: (1) tourist lodging; (2) nursing homes; (3) nursery
schools; (4) day care centers; and (5) private schools. [Section 5.2 (h)]
WAIVERS AND MODIFICATIONS: The above standards are eligible for waiver or modification by the Planning
Commission. Ask staff for more information about applicable fees and process. [Section 35 and Section 5.11
Owner/Applicant Must Read and Sign
I hereby apply for approval to conduct the Home Occupation identified above, and certify that this address is my legal
residence, I also certify that 1 have read the restrictions on Home Occupations, that I understand them, and that I will abide
by them,
Signature of Owner/Applicant
P •'11�1t Name
Reviewer
ENGINEER'S REPORT A'T'TACHED: YES NO
CONDITIONS;
IT
0
-4-5-15
Date ff��
.Da
,),time number of Signatory
D 1311
ate
InV
2n/2011 Page2or2
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompanY Zor►ing applications (Horne Occupation, Zoning Clearance, Zoning
Atlministrator Detern►in.ations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application;
was provided to
[County application name and number]
the owner of record of Tax Map
[name(ts)(ofjthe record owners of the parcel]
and Parcel Number �Q ` \�I r �by delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity] [AU
k �A L ( 6
) t -f
on C`Ab
T�atP
J Mailing a co of the application to
Marsh g py
Tk ��'11ays � '� 1, 3aI 5 - 6'Q
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
Oil
Date
to the following address:
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current -real estate tax assessment records satisfies
this requirement).
703=1
Signature of Applicant
Print Applicant Name
(9
Date